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J Korean Soc Emerg Med > Volume 11(3); 2000 > Article
Journal of The Korean Society of Emergency Medicine 2000;11(3): 397-400.
Spontaneous Rupture of A Renal Angiomyolipoma
Young Gi Min, Yoon Seok Jung, In Cheol Park, Joon Pill Cho
The case of a patient with acute onset of flank pain is presented. Initial therapy was directed toward relief of pain believed to be caused by renal calculi. The flank pain did not responded to analgesics. An abdominal ultrasonogram showed that multiple hyperechogenic masses were in the parenchyma of both kidney, and an abdominal CT showed that multiple high-density masses, presumed to be angiomyolipomas, were located in both kidneys and in the perirenal hematoma around the left kidney. Vital signs were stable, and there was no evidence of anemia. On the seventh hospital day, angiographic tumor embolization was performed. Cases such as this should remind emergency physicians to carefully consider alternate diagnoses to renal calculi in patients with flank pain who have atypical clinical features or an atypical course.
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